NPIMap

Organization Active NPI

The Orthopaedic and Spine Center of Southern Colorado, LLC

  • Ambulatory Surgical Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1942540851
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
THE ORTHOPAEDIC AND SPINE CENTER OF SOUTHERN COLORADO, LLC
Practice address
4110 Briargate Pkwy
Suite 200
Colorado Springs, CO 80920-7835
Phone
(720) 287-5362
NPI assigned
Mar 1, 2013
Last updated
Jan 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Austin
Title
Vice President of Operations
Phone
(720) 287-5362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

4110 Briargate Pkwy
Suite 200
Colorado Springs, CO 80920-7835

Mailing address

1658 Cole Blvd
Ste 100
Lakewood, CO 80401-3304
Phone (720) 287-5362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021000466 CO Part B Supplier - Ambulatory Surgical Center 0749401560 Practice locations: Colorado Springs, CO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Orthopaedic and Spine Center of Southern Colorado LLCCCN 06C0001149
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2061690Orthopedic and Spine Center of Southern Colorado4110 Briargate Parkway, Suite 200, Colorado Springs, CO 80920Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Uch-MHS
    • General Acute Care Hospital
    • Colorado Springs, CO
    • NPI 1952917056

    Member Of

    NPD member

Locations

4110 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 327-2229

4110 Briargate Pkwy
Ste 200
Colorado Springs, CO 80920
Phone (719) 282-8888

1658 Cole Blvd
Ste 100
Lakewood, CO 80401

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1942540851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 COLE BLVD",
            "address_2": "STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013304",
            "telephone_number": "720-287-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "720-287-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPAEDIC AND SPINE CENTER OF SOUTHERN COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "720-287-5362"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.